Adler O B, Engel A, Rosenberger A, Dondelinger R
Department of Diagnostic Radiology, Rambam Medical Center, Faculty of Medicine, Technion-Israel Institute of Technology, Haifa.
Rofo. 1990 Oct;153(4):400-3. doi: 10.1055/s-2008-1033403.
Palmar hyperhidrosis or excessive sweating of the hands causes, to those affected, emotional and physical disturbance and impediment in professional and social life. The cause is unknown. Sweat glands are innervated by the sympathetic chain of the autonomous nervous system. The center of sympathetic regulation of the upper extremities is located between the segments of D.2-D.9 of the spinal cord. Accepted treatment consists of surgery aimed to excise the third thoracic sympathetic ganglion. Besides the surgical procedure as such, and its complications, there are complications inherent to the excision of the ganglion. These are Horner's syndrome, compensatory sweating in other parts of the body, and recurrence of sweating. CT guided chemical percutaneous thoracic sympathectomy presents an alternative, which in the event of failure does not prevent ensuing surgery. The preliminary experience with this procedure in 50 patients is presented and discussed.
掌部多汗症或手部过度出汗会给患者带来情绪和身体上的困扰，并对其职业和社交生活造成阻碍。病因不明。汗腺由自主神经系统的交感神经链支配。上肢交感神经调节中枢位于脊髓胸2至胸9节段之间。公认的治疗方法是手术切除第三胸交感神经节。除了手术本身及其并发症外，切除神经节还存在一些固有并发症。这些并发症包括霍纳综合征、身体其他部位的代偿性出汗以及出汗复发。CT引导下经皮化学性胸交感神经切除术是一种替代方法，若该方法失败，并不妨碍后续手术。本文介绍并讨论了对50例患者进行该手术的初步经验。
